| NPI | 1720074594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JALIL NASSIRZADEH Administrator/Owner 781-592-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: MA 0332) |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2020-08-22 |